The dentist's role in access to dental care by Medicaid recipients

This study uses a decision analytic approach to assess the dentist's role in access to care by Medicaid recipients. The question of whether a private dentist, when given the choice, will schedule a Medicaid or non-Medicaid patient is examined. The model considers factors frequently reported to influence dentist's decisions over whether to accept Medicaid recipients into their practices. Factors include reimbursement rates, probability of broken appointments, and likelihood of reimbursement. The model permits calculation of the expected benefits in dollars for comparable treatment of Medicaid and non-Medicaid patients. Under a variety of conditions, it is shown that the strategy to schedule a non-Medicaid patient dominates alternative strategies in which Medicaid recipients are scheduled. Policy implications of these results are discussed.

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				D. Grembowski, R. M. Andersen, and M.-s. Chen A Public Health Model of the Dental Care Process Med Care Res Rev, January 1, 1989; 46(4): 439 - 496. [PDF]